新冠病毒感染期间房室传导的动态变化：炎症起作用吗？
Dynamic changes of atrioventricular conduction during Covid-19 infection: Does inflammation matter?
作者信息
Aryanti Risca Rini, Hermanto Dony Yugo, Yuniadi Yoga
机构信息
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia and Arrhythmia Division, National Cardiovascular Center Harapan Kita, Jalan S Parman Kav 87 Slipi, Jakarta, 11420 Indonesia.
出版信息
Int J Arrhythmia. 2022;23(1):20. doi: 10.1186/s42444-022-00072-0. Epub 2022 Aug 1.
BACKGROUND
The primary manifestation of COVID-19 infection was pulmonary involvement. However, it can also manifest as a cardiovascular problem.
METHODS
We report a case of 82-year-old male COVID-19 patient who experienced atrioventricular (AV) conduction disturbance.
RESULTS
The rhythm was degenerated from sinus rhythm to complete AV block. We observe dynamic AV node dysfunction associated with inflammatory response. His bundle pacing successfully captured distal His region.
CONCLUSION
The severe inflammatory response during COVID-19 infection might permanently damage cardiac conduction system resulted in a complete AV node block.
背景
新型冠状病毒肺炎（COVID-19）感染的主要表现为肺部受累。然而，它也可能表现为心血管问题。
方法
我们报告一例82岁男性COVID-19患者，该患者出现房室传导障碍。
结果
心律从窦性心律退化为完全性房室传导阻滞。我们观察到与炎症反应相关的动态房室结功能障碍。他的束支起搏成功夺获希氏束远端区域。
结论
COVID-19感染期间的严重炎症反应可能会永久性损害心脏传导系统，导致完全性房室传导阻滞。
Zotero 插件